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11-1194 (SFD). r I P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT - Date: 5/17/12 Application Number: 11=000"01194 Owner: Property Address: 54805 AVENIDA VALLEJO DUCHENE EUGENE & MARIE APN: 774-201-014- - 94 COLUMBUS DRIVE Application description: DWELLING - SINGLE FAMILY DETACHED RANCHO MIRAGE, CA 92270 Property Zoning: COVE RESIDENTIAL Application valuation: 126173 Contractor: Applicant: Architect or Engineer: SUN VALLEY DEVELOPMENT 73900 DINAR SHORE DR. 0 MAY 17 2011 PALM DESERT, CA 92211 / ^ (760) 832-7406 � CITY OF Lic. No.: 940584 FINAF QUITTA ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B License 940584 ate: l% ntractI IN 12 A - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within - - one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). - (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractors) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. „ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND 07/O1/1Policy Number 1978014-2011 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the hall forthwith comp) . h those provisions. dater$' A ica WARNING: FAILU Ef ECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives - of this county to enter upon the above-mentioned proper y for inspection purposes. 1' I YO1C•s �ignature (Applicant or Agent): -O 1\V►^—/'``T Application Number . . . . . 11-00001194 ------ Structure.Information 1,972SF DWELLING/VB/RES-3/CLASS A-FR/13D----- Other struct info . . . . . CODE EDITION' 2010 ## BEDROOMS 3.00 FIRE SPRINKLERS 13D GARAGE SQ FTG 458.00 . ' PATIO SQ FTG 20.00 NUMBER OF UNITS 1.00 -------------------------- 1ST-FLOOR SQUARE FOOTAGE 1972.00 -------------------------------------------------- _. PermitELEC-NEW RESIDENTIAL Additional desc Permit Fee 108.18 Plan Check .Fee 27.05 Issue Date Valuation 0 Expiration Date 10/10/12 Qty Unit Charge Per Extension BASE FEE 15.00 1972.00 .0350 ELEC NEW.RES - 1 OR 2 FAMILY 69.02 458.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.'16 1.00 15.0000.EA ----------------------------------------------------------------------- ELEC TEMPORARY POWER POLE 15:00- Permit GRADING PERMIT Additional desc . Permit Fee . . 15.00 Plan, Check Fee .00 . Issue Date . . . . Valuation 0 Expiration Date 10/10/12 Qty Unit Charge Per Extension BASE FEE 15.00 Permit BUILDING.PERMIT- Additional desc .. Permit Fee . . . . 734.00 Plan Check Fee-. 477.10 Issue Date . . . Valuation - 126173 Expiration Date 10/10/12 Qty Unit Charge- Per Extension BASE FEE 639.50 . 27.00 3.5000 ---------------------------------------7 THOU BLDG 100,001-500,000 ------------------------------------ 94.50 . - Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 71.00 Plan Check Fee 17.75 LQPERMIT LQPERMIT Application Number . . . . . 11-00001194 Permit MECHANICAL Issue Date . . Valuation . . 0 Expiration Date 10/10/12 Qty Unit Charge Per Extension. BASE FEE. 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00- 1.00 4.5000 EA MECH VENT INST/. DUCT ALT 4.50 1.00 .16.5000 EA MECH B/C >3=15HP/>100K-500KBTU 16.50 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . PLUMBING Additional desc . ' Permit Fee 157.50 Plan Check Fee 39.38 Issue Date . . . . Valuation . . . . 0 Expiration.Date 10/10/12 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 3.00 6.0000 EA - PLB ROOF DRAIN .18.00 1.00 7..5000 EA PLB WATER HEATER/VENT 7.50 °1.00 3.0000 EA PLB WATER INST/ALT/REP , 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 4.00 .7500 EA PLB GAS PIPE >=5 3.00 1.00 15.0000 EA PLB GAS METER 15.00 Special Notes and Comments 1,972SF DWELLING/VB/RES-3/CL A-FR/13D (CONVENTIONAL) THIS PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA, BBQ OR DRIVEWAY APPROACH. 2010 CALIFORNIA BUILDING CODES. April 13, 2012 9:27:26 AM AORTEGA- ------------- ----------- -------------------------------==--------------------- Other Fees . . . . ART IN_'PUBLIC PLACES -RES 20.00 ` BLDG STDS ADMIN (SB1473) 6.00 DIF COMMUNITY CENTERS -RES 74.00 "DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 47.71 DIF FIRE -PROTECTION -RES 140.00 GRADING PLAN.CHECK FEE 15:00 DIF -.LIBRARIES -.RES( 355.00 MULTI -SPECIES (MSHCP) FEE' 521.00 DIF PARK MAINT FAC - RES 22.00 LQPERMIT Application Number . . . . . 11-00001194 M ----------------------- - Other Fees ------------ ------------------------- DIF PARKS/REC - RES --------------- 892.00 COVE PRECISE PLAN FEE 100.00 DIF STREET MAINT FAC -RES 67:00 DIF TRANSPORTATION - RES 1930.00 Fee summary. Charged Paid Credited Due Permit Fee Total 1085.68 .00 .00 10'85:68 ' Plan Check Total 561.28 400.00 .00' 161.28 Other Fee Total 5184.71 .00 .00 5184.71 Grand Total 6831.67 '400.00 .00- 6431.67 - 1 LQPERMIT Building Address S Owner P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 mailing f�b3 Address 7j( bz ACwt-i-Ae t U S �. div . C� • I O 3 �3 R44 A,4 I lLT Zp ZZ �� Tel. m. 27TZ•4091 & Classif. I Lic. # Hrcn., tngr., Designer - - , j 7f>-- `raD to, / Asc, Address Tel. 490 4( o City ft2,,?_4_-7- State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. & P.C. for this reason WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). I certify that in the performance of the work for which this permit is issued, I shall not am toy any person in any manner so as to become subject to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT.. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT BUILDING: TYPE CONST. OCC. GRP. A.P. Legal Description Project Descriptior &5(21b L.;r•_M I [.Lf, Sq. Ft. No. No. Dw. Size Stories Units New ®� Add ❑ Alter ❑ Repair ❑ Demolition ❑ ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Validated by: Validation: Date Permit YELLOW = APPLICANT PINK = FINANCE Estimated Valuation / PERMIT AMOUNT Plan Chk. Dep. ,, Q Plan Chk. Bal. Const. Mech. Electrical Plumbing _ S.M.I. _ Grading Driveway Enc. ; rlu Infrastructure f TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Validated by: Validation: Date Permit YELLOW = APPLICANT PINK = FINANCE i — a CERTIFICATE`OF COMPLIANCE ���1Ftsc� Desert Sands Unified School District zqe o 47950 Dune Palms Road ¢ BERMUDA DUNES RANCHO MIRAGE Date 5/4/12 La Quinta, CA 92253 INDIAN WELLS No. 31267 (760) 771-8515 `�� P LA OUINTA , . ��INa y� Owner Eugene & Marie Duchene _ APN # 774-201-014 Address Jurisdiction La Quinta City Zip Permit # Tract # No. of Units , 1 Type Single Family Residence " Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 54805 Avenida Vallejo . 1972 Unit 6 , Unit 2 Unit 7 - Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time'due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to • Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.97 X 1,972 S.F. or $5,856.84 have been paid for the property listed above and that building permits and/or Certificates of. Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/Pacific Enterprise Bank' Mark Howard Check No. 6163 Name on the check Telephone 760-272-4691 t Funding Residential By Dr. Sharon P. McGehee Superintendent ` •.K + Fee -collected /exempted by. SKar n il�[[ey Payment Recd $0.00 - $5,856.84 s `mer/U_�nder �� . tl Signature C %�`(� ~ • ... ' AA NOTICE: Pursuant to Government Code Section 66020(d)(1), thl II serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date ich the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting . RECORDING REQUESTED BY: Fidelity National Title Company Escrow No. 14632 -KL Title Order No. 11 -259929213 -KC When Recorded Mail Document and Tax Statement To: Mr. and Mrs.- Eugene Duchene 94 Columbia Drive Rancho Mirage, CA 92270 ACAll0A V4 61el,D � ' 1ZECEIVTEI: ) MAR 2 6 2012 B)(: GRANT DEED SPACE.ABOVE THIS LINE FOR The undersigned grantor(s) declare(s) Documentary transfer tax is 827.50 [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Arep City of La Quinta FOR A VALUABLE CONSIDERATION, receipt of which is hereby. acknowledged, Petra Carrillo, A Single Woman who aquired title as Petra Carillo, A Single Woman hereby GRANT(S) to Eugene Duchene and Marie H. Duchene, Trustees of the Duchene Family Trust Dated May 7, 1987 the following described real: property in the City. of La 'QuintaCounty of Riverside, State of California: SEE EXHIBIT "ONE" ATTACHED HERETO AND MADE A PART HEREOF DATED: September 26, 2011 State of California County of Riverside On 2`.21,11 before me, K. Larbv IJ , Notary Public (here insert name and title of the officer), personally appeared Petra Carrillo , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to - the within instrument and acknowledged.to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person.(s),. or the entity upon behalf of which the person(s) acted, executed the instrument: I certify under PENALTY OF PERJURY under.the laws' of the State of California that the foregoing paragraph is true and correct. WITNES�andoffilclalal. Sig ture(Seal) Petra Carrillo K. LARBY Commission # 1834166 Z .� Notary Public - California = Z Riverside County f My Comm. Expires Feb 17.2013 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 12/07) GRANT DEED (grant.wpd)' (08-09) M'DISTRICT- PLANNING REVIEW FORM This form is to be used by CDD staff for review of single family dwel.lings - in the RC -(Cove Residential) District per Section 9.50.090 -of the Zoning Code. Its purpose is -to determine.-, 1.) that the proposed: housing design does not duplicate the same- architectural style -of any house within 200 feet of the applicant; .and/or 2) if there is a need for the applicant to file for Master Design Guidelines. If the applicant does need.to file a Master Design'Guidefine, please transmit ' this information to the Building and' Safety Departmentas- part of your. correction list. Please. attach additional 'explanations as necessary. APPLICANT: .SITE ADDRESS: APN - . - CASE NO..: LEGAL: LOT BLOCK UNIT S.C.@V.L:Q. CHECK AND APPROVED.BY: C.ZLC ec�s* DATE: Z14 61- Inform the assigned Building plan. checker upon .your assignment to this case. The CDD Executive Secretary+ maintains a log book to track applications. and assign case numbers. REQUIRED ITEM Y N COMMENT/CORRECTION Verify legal and APN information Consistent with MDG•on file (as applicable) .MDG filing required (5' filings since 9/3/98) .` Architectural variety within 200 feet of the surrounding area: Architectural design features = ' Other Requirements: �' Plan Submittal Job Site Owner's Ni Number, Street, or PO City, State, Postal C Owner's Phone Nun Owner's E -Mail Addi Project Manager's Project Manager's Phone P Project Manager's E-mail A Building Permit Number: Project Description: NSFR Exempt: ❑ (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan 1/412012 54805 Avd. Vallejo EI Rancho Homes PO Box 10389 Palm Desert, Ca 92255 Mark Howard 760-272-4691 lenchdeslgn0aol.com BulIdor/ Con tracto EI Rancho Homes Number, Street or Po Bo PO Box 10389 City, State, Postal Cod Palm Desert, Ca 92255 Project Square Footag 2,392 City Approval By Date of City Approval Materials To Be Discarded: . / Product Tons Trash 4.54 Not recyclable Asphalt 0 Recyclable Brick/Block 0 Recyclable Cardboard 0.79 Recyclable Commingled 0 Recyclable Concrete 0.19 Recyclable Drywall 0.14 Recyclable Donated / Reuse* 0 Recyclable `Describe Items Product Masonry (broken) Plaster Scrap Metal Tile (floor) Tile (roof) Wood Landscape Debris Tons 0 Recyclable 5.98 Recyclable 0 Recyclable Totals: Recycle Trash Projected Diversion: 7.991 1 4.54 63.8% I understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, Implementation and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at least 50% of the jobsite waste Is diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials generated from the first day of the project through the completion of the project In accordance with this plan. This DMP Is Issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However; the DMP Is still Issued In the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to. The prorly owners) and general contractor shall be kept Informed of the diversion progress through bl-monthly reports. If self-haulin , all r fuse material from this project site must be taken to an approved racycI r or tr nsfer station. .....Owner./. Deve oper. /.Project Manager / Superintendent .................... ........ .................... ........................ Dae ........ ..... ......... ... ................ .... _................. ....................... . k Monthly Recycling Progress Report oF As of: October' 17, 2012 Your participation in the City of La Quinta's Construction Debris Program ensures that your worksite remains in. compliance at all times with State mandates requiring the reduction of materials going to California's landfills: Your project's progress is being monitored by the franchised hauler's District Environmental Coordinator_ who is available for consultation regarding additional recycling opportunities for the duration of your project. The percentages in the boxes to the right represent the current amount of materials removed from your project versus the recycling goal established at the beginning of the job. Below is the breakdown of materials (plan v. actual) since the start of your project. Since recycling costs are generally lower than landfilling your material, you are saving money on each ton you divert. If you are having difficulty meeting this projection, please contact the District Environmental Coordinator at (760) 578-5215 for assistance. Planned Tons Recycled/Reused Materials Actual Tons 0.00 Asphalt 0.00 0.00 Brick/Block 0.00 0.79 Cardboard 0.00 ' 0.00 Comin led C&D Material 0.00 0.19 Concrete' 0.00 0.14 Drywall 0.00 0.00 Items Donated or Reused 0.00 0.00 Landscaper Debris 0.00 0.00 Mason broken 0.00. 0.48 Plaster 0.00 0.00 Scrap Metal 0.00 0.41 Tile floor 0.00 0.00 Tile (rooD 0.00 5.98 Wood 1.35 _ Project Contact Mark Howard P_r__oject_Lo_ca_tion 54805 Avd. Vallejo ` Property Owner's Mailing Address EI Rancho Homes ' PO Box 10389 ~ Palm Desert, Ca 92255 " E-mail: - Contractor's Mailing_ Address , EI Rancho Homes PO Box 10389 - Palm Desert, Ca 92255 - E-mail: howmark22@aol.com Project square Foota el 2,392 Recycling Goal 64 1 , Actual Recycling 51% r No more than 50% of jobsite waste from new construction may:be,disposed of as trash. The remaining -material must be 'recycled or, re -used. Green Building Standards Code 4.408 &5.408 If you are self -hauling recyclables or trash, please send copies of receipts or weight tickets to: Kenn Stevens, DEC 41-575 Eclectic Street, Palm Desert, Ca 92260 Fax: 760 340-0417 E-mail: ken@burrtecdesert.com . �otai Kecyclea.��J Project Type: I NSFR Planned Non -Recycled Actual 4.54 Trash 1.30 Project started on or about: 11/4/2012 - Certificate of Insulation d- This certifies that insulation has been professionally installed in this project to provide thermal values as noted below in accordance with California, Energy Standards,' Title" 24: i Your project has been insulated with. 4 Johns Manville ' - + ' Greenguard Certified Insulation,materials.that are designed;to meet'or exceed current energy requirements• and safety standards. All products used have been installed in 'a professional and proper manner. Job: New Single Family Dwelling ' - Completion Date: 7/24/20.12 Address: 54805 Ave. Vallejo,' La Quinta, CA Areas insulated to meet or exceed requirements: R -Value (*) Type Ceiling area.. 38'Fiberglass Batt Exterior walls 13 Fiberglass Batt Y! Title 24 Caulking ? ... - . Poly Foam Caulking Optional Areas Insulated: Garage ceiling area '` 19 Fiber lass Batt - Gara a exterior walls ' 11 t Fiber Iass,Batt R -Value(*) e - Tvpe * R=value means resistance to heat flow. The higher the R -value the greater it's insulating power, A fact sheet on R -values is available upon request. This'document should stay -with the.home if sold. Signed: NXWbt21dIC�in., ; _ Michael L. Dickerson - President i Pro Insulation, Inc - • . • P.O. Box -10306 _ San'Bernardino, CA 92423 - www.proinsulationinc.com 4 Certificate of Occupancy Building & Safety Department This Certificate is issued pursuant to the requirements of Chapter 1 Section R110 of the California Residential Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and .the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 54-805 AVENIDA VALLEJO Use classification: SINGLE FAMILY DWELLING Occupancy Group: R3 Type of Construction: VB Code Edition: 2010 Sprinkler Installed: YES Building Permit No.: 11-1194 Land Use Zone: RC Sprinkler Required: YES Owner of Building: DUCHENE EUGENE & MARIE Address: City, ST, ZIP: By: Building Official Date: POST IN A CONSPICUOUS PLACE 94 -COLUMBUS DRIVE RANCHO MIRAGE, CA 92270 AJ ORTEGA OCTOBER 17, 2012 IN COOPERATION WITH THE CALIFORNIA DEPARTMENT -OF FORESTRY AND FIRE PROTECTION `77-933 Las' Montanas Rd:; Ste: #201, Pa Inni Desert';.CA - 92211-4131 •. Phone • (760) 863--8886` ' ; • .` ;> t • Fax (760) 863-7072 www.rvcfire..org PROUDLY SERVING THE UNINCORPORATED AREAS February 8, 2012 OF RIVERSIDE COUNTY ry . AND THE CITIES OF: Desert Fire Extinguisher BANNING 558 E. Industrial Place BEAUMONT Palm Springs, CA 92262 CAUMESA Re: Residential Fire Sprinkler Plan Review CANYON LAKE 54-805 Ave Vellejo COACHELLA DESERT HOTSPRINGS The Riverside County Fire. Department Planning & Engineering personnel have reviewed your sprinkler plans for -the above referenced project. Please be advised that your plans require the EAsTVALE following corrections. INDIAN WELLS Please provide the following information in your next submittal: INDIO LAKE ELSINORE 1) Provide a recent (within 6 months) water flow verification letter from the water purveyor 2) Provide hydraulic calculations based on the ACTUAL water flow LAQUINTA' 3). Provide Materials Data Sheets for: MENIFEE -Fire Sprinklers -Pipe, fittings and devices MORENO VALLEY -Water supply components devices such as water meter, backflow, ect. PALM DESERT 4) Building system piping plan including all of the following that apply: -Size and type of all pipe and fittings, with length.of each segment and actual PERRIS inside diameter used for hydraulic calculations. RANCHO MIRAGE -Location of all hangers and means of support. -Reference nodes matching hydraulic calculations RUBIDOUx CSD SAN JACINTO NO inspections will be performed until Riverside County Fire Department Planning & TEMECULA Engineering staff has approved the corrected plans. WILDOMAR All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & -Engineering staff at (760) 863-8886. BOARD OF SUPERVISORS: Sincerely, BOB BUSTER DISTRICT 1 JOHN TAVAGLIONE DISTRICT 2 Jason Stubble JEFF STONE Fire Safety Specialist DISTRICT 3 JOHN BENOIT DISTRICT 4 MARION ASHLEY DISTRICT 5 C,y M 1 CITY OF LA QUINTA SUB -CONTRACTOR LIST ' JOB ADDRESS �/ O /7YE V/�y PERMIT NUMBER - D000 / OWNER int/Li- Th: BUILDER EZ- AIKI&VA This form shall be posted•on the job with the Building Inspection Card at all times in a consp•cuous place. Only persons appearing on this list or their employees are authorized to work on this job. 'Any -changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of hiiilriinn nprmit Fnr path annlirtahlp trade- all infnrmatinn renuested below must be completed by aDDlicant. "On File" is not an acceptable response. Trade / Classification Contractor :.:.:::.:.::: :• :'1� ... .....::..: ;:':<'>:.:::>::>:<.;:.:::.;::::: :..... ...State Contractor s License rk r m ensation':Insurance:.;::': ;';:>.::.'.:; Wo e.s Co City Busriegs licensi..'. Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12).:.; = CONCRETE (C-8), > E'eY DUDE C�VN5T e-$ O� ��'%S -9/111/3 �4x& r" o0o2-$3-(o120 FRAMING :lC-51 ;..'' 5,jr.S (/4V VV C_ - s B 14f 0'5 i2 ; c `f 7 P 14Wff .. / STRUCT'.:STEEL'(C-51) -¢- MASONRY (C•29) PLUMBING (C-361 Gj " PW Nc g t N C7 ' ri 3(. B %� 7 IgS / �$ 10. -It % !/ �O ?S/ `j f_ATH; PLASTER (C.35) �& tJ Go + G=. 3S 7Z7 Cob 1 3/ 1 ori 3&.11011508Z-_ l'91/SrL G . Q,? o LL DRYWALL (C-9),.>..: SdN l/i�(,L,�}� QW Tw✓C. G�• �j HVAC. (C-20)::: '`. ' � e C-� 731 � � �' D 831 ELECTRICAL. (C=1 0) :. .. (3ttt. (.�� Cz EDT • C - tQ3 p��1Z6T ROOFING .IC.=39► ` >': .: `C 126AFtN�o C _ Co �o j ( 7 F � S 1� SHEET.METAL IC -43)' -�— FLOORING lC::15).; :;:` : ' D &i7 G4-tzP�T' C--1 S 5"J 2,0; $ GLAZING (C-171. INSULATION (C-2) : PV-� SUS t, 0 �:Rx- G -Z G / � ZZg ff__ Y �3o f7 r IQ,¢�?D/2 l / S, f��t✓ o� ZS 7� 7 2 L j � 3 3� SEWAGE DISP - (d. -4'24 PAINTING CERAMIC TILE (C-54) CABINETS (C-6) 7U�/ ✓A t �'t(. 'Dev q IJC , FENCING (C-13) tJDt2 OO N S �!-13 q 0511 5 �( �u-..� . O oo Z$? - % � I 1-3 l a 7 4�O 2 2?- r3 LANDSCAPING (C=27)..;: POOL (C-53) Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for - compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with ' the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for,' any additional systems in the dwelling as applicable.- Temperature pplicable.Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS)' Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is. required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. °• TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag Split System System Location or Area Served Garage 1 ® Yes ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ®Yes 13 No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2: } Yes to 1 and.2 is a pass. - Enter Pass or Faill ✓ a Pass ✓•❑ Fail STMS - Sensor_.on;the. Evaporator Coil- System Name 'or Identification/Tag-) / :./j Split System !. '` "' /r' j j ( V _ 3 ❑ Yes ❑�N r� The sensor is factory installed, orifield installed according to manufacturer.'s . specifications, or is installed by methods/specifications approved by the Executive 6 ❑ Yes ; .. / Director. The sensor wire is terminated -with a standard mini plug suitable for connection;to a 4 ❑ Yes , - ❑ No digital thermometer. The"`sensor-mini plug is accessible to the.installing;techniciari 7 ' - and the HERS rater without changing the airflow through the condenser coil ` 5 13 Yes ❑ No { When attached to a digital thermometer, the sensor provides an indication of the 8 _ ❑ No saturation temperature of the coil. Yes to 3, 4, and 5 is a pass. Enter. N/A if STMS are not applicable. Otherwise enter Pass o� Fail'' ✓ ®N/A ; ✓ -13 Pass ✓ [3 Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag Split System - ✓ ®N/A ✓ �,❑Pass The sensor is factory installed, or field installed according to manufacturer's 6 ❑ Yes ❑ No specifications, or is installed by,methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician Reg: 212-A0054093A-M2500001A-M25A • Registration Date/Time: 2012/09/28 and the HERS iat& without changing the airflow through the condenser coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the March 2010 saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if, STMS are not - ✓ ®N/A ✓ �,❑Pass ✓ [3 Fail - applicable. Otherwise enter Pass or Fail • Reg: 212-A0054093A-M2500001A-M25A • Registration Date/Time: 2012/09/28 01:23:'59. HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) ' Procedures for determining Refrigerant Charge using the Standard Change Measurement Procedure are available in Reference Residential , Appendix RA3.2: As many as 4 systems in the dwelling can be documented for complianceusing this form. Attach an additional form(s) for, any additional systems in the dwelling as applicable. ° t ' • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure: • The system must meet minimum airflow requirements as prerequisite fur a valid refrigerant charge test. • If outdoor air dry-bulb is 55°f or below, the. installer must use the Alternate Charge Measurement Procedure. Space Conditioning Systems _ z System Name or Identification/Tag --9/l/2012 Split System System Location or Area Served - 9/1/2012 Garage I f Outdoor Unit Serial # f ' ,W1F11O7638 Outdoor Unit Make n Guardian Outdoor Unit Model r, GCGSD6OS41S3A , Nominal Cooling Capacity Btu/hr a r 60000 r Date of Verification � ` 9/27/2012 E Calibration of Diagnostic Instruments. Date of Refrigerant Gauge Calibration --9/l/2012 (must be re -calibrated monthly) ' Date of Thermocouple, Calibration f %� - 9/1/2012 rye- must be re -calibrated monthly) I f ' Measured Temperatures (°F) /. f Reg: 212-A0054093A-M2500001A-M25A 'CRegistration Date/Time: 2012/09/28 01:23:59 HERS Provider: Ca10ERTS'- Inc. 2008 Residential Compliance Forms ., March 2010 r System Name or Identifit�catyiionirTag, SplitiSystem toX111 -. ')1 Supply (evaporar leaving)'air dry-bulb­ temperaturedb), temperature (Tsu I db) Return (evaporator entering) air dry-bulb t , temperature (Treturn, db) ? Return (evaporator entering) air wet -bulb temperature (Treturn, wb) Evaporator saturation temperature 39.7 (Tevaporator, sat) r Condensor saturation temperature 101.3 - (Tcondensor, sat) - Suction line temperature (Tsuc'on) 56.6 Liquid Line Temperature (Tliquid) r ' 94.3 Condenser (entering) air dry -bulb 94 temperature (T condenser - , db) s Reg: 212-A0054093A-M2500001A-M25A 'CRegistration Date/Time: 2012/09/28 01:23:59 HERS Provider: Ca10ERTS'- Inc. 2008 Residential Compliance Forms ., March 2010 r System Name or Identifit�catyiionirTag, SplitiSystem toX111 -. ')1 Supply (evaporar leaving)'air dry-bulb­ temperaturedb), temperature (Tsu I db) Return (evaporator entering) air dry-bulb t , temperature (Treturn, db) ? Return (evaporator entering) air wet -bulb temperature (Treturn, wb) Evaporator saturation temperature 39.7 (Tevaporator, sat) r Condensor saturation temperature 101.3 - (Tcondensor, sat) - Suction line temperature (Tsuc'on) 56.6 Liquid Line Temperature (Tliquid) r ' 94.3 Condenser (entering) air dry Minimum Airflow Requirement - - w Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge` Verification. The temperature split method is specified in Reference Residential Appendix RA3.2.. System Name or, Identification/Tag - Calculate: Actual Temperature Split = Tretum, db - Tsupply, db ' Target Temperature Split from Table RA3.2-3 using Tretum, wb and Tretum, db ' Calculate difference: Actual Temperature Split - Target Temperature Split=' , Passes if difference is between -4°F and +4°F or, { upon remeasurement, if between -4°F and e -100°F r ` ay" r - Enter Pass or Fail r. Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3: If actual cooling coil airflow is measured, the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) ='Nominal Cooling Capacity, (ton) X 300 (cfm/ton) System Name or Identification/Tag ? R Split S stem t .y Calculated Minimum Airflow Requirement (CFM) 1Soo Measured Airfl�:.u.sin RA3.3.procedures CFM 1895' -, Passes if measured airflow is greater than or - equal to the calculated minimum airflow - PASS - requirement:, Enter Pass or Fail` 2 System passes if difference is between. -6°F and Reg: 212-A0054093A-M2500001A-M25A Registration Date/Time: 2012/09/28 01:23:59 "HERS Provider: Ca10ERTS,.Inc. 2008 Residential Compliance Forms k March 2010 Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag a w Calculate: Actual Superheat Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using " Tretum, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = Enter Pass or Fail, - System passes if difference is between. -6°F and Reg: 212-A0054093A-M2500001A-M25A Registration Date/Time: 2012/09/28 01:23:59 "HERS Provider: Ca10ERTS,.Inc. 2008 Residential Compliance Forms k March 2010 Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag a w Calculate: Actual Superheat Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using " Tretum, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = Enter Pass or Fail, Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required.to be used, '' for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. n System Name or.Identification/Tag Split System Calculate: Actual Subcooling = 7"W ' Tcondenser, sat - Tliquid ' Target Subcooling specified by manufacturer r- , 10 Calculate difference: ; :g } Actual Subcooling - Target Subcooling = N41— _ f � J passes if difference is between'i•+ 'PASS . •. f ' d +40F`' EF PASS ' i , " ; Enter Pass or Fail - { > . - ' Metering Device Calculations for Refrigerant Charge Verification. This procedure.is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. ; System Name or Identification/Tag T Split System'. Calculate: Actual Superheat = Tsuction - Tevaporator; sat 16.9 ' Enter allowable superheat range from ' manufacturer's specifications (or use range - 16.9 between 3°F and 26°F if nianufacturer'st specification is not available). System passesrif actual superheat is within'th N41— _ f � J allowable superheat range) 'PASS . •. f ' + +,^Enter Pass or Fail ' 1 , ' i r ; .' { Reg: 212-'A0054093A-M2500001A-M25A Registration Date/Time: 2012/09/28 01:23:59 HERS Provider: Ca10ERTS,,Inc. 2008 Residential Compliance Forms r •` March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification Standard Measurement Procedure (Page 5 of S) Site Address: Enforcement Agency: Permit Number: 54805 Avenida Vallejo, La Quinta CA 92253 City of La Quinta 11-1194 Standard Charge Measurement Summary: 1. " System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag Split System 731939 HERS Provider Data Registry Information r System meets all refrigerant charge and airflow • , a HERS sample group requirements. 1 • . PASS Rapid Duct Testing & Air Balancing Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fal Saro Jankozian Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/27/2012 . CC2005931 z DECLARATION STATEMENT - . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the Installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified: on the Certificate(s) of Compliance (CF -SR) approved by the local enforcement agency. i . The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -SR) approved by the ` enforcement agency. _ Builder or Installer information as shown on the Installation Certificate. (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) RAYBURN HEATING AND AIR CONDITIONING Responsible Person's Name: CSLB License: Doug Rayburn 731939 HERS Provider Data Registry Information Sample Group * (if applicable): N/A ® tested/verified dwelling, • ❑ not-tested/verified dwelling in' a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798695425 HERS Rater Company Name: - Rapid Duct Testing & Air Balancing Responsible Rater's Name: Responsible Rater's Signature: Saro 7ankozian Saro Jankozian Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/27/2012 . CC2005931 t Reg: 212-A0054093A-M2500001A-M25A Registration Date/Time:'2012/09/28 01:23:59 'HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms _ March'2010 ai CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING = CF-4R-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 1 of 2) Site Address:t. Enforcement Agency: Permit Number: 54805 Avenida Vallejo, La Quinta CA 92253 City of La Quinta 11-1194 As many as 4 systems in the dwelling can bedocumentedfor compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. 'Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CFIR )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the -evaporator coil in the supply ® Diagnostic Fan+Flow Using Flow Capture Hood -according to,the procedures in RA3:3.3.1.3 System Name or Identification/Tag `1 ` "� plenum as shown in the figure in Section RA3.3.1.1. - 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located 13 PSPP _ downstream of the evaporator coil in the supply plenum as shown in the figure in Section , RA3.3.1.1. ' System Name or Identification/Tag Split System _ System System Location or Area Served Garage Nominal Cooling Capacity (ton) of the outdoor unit. 5 Confirm that a HSPP or PSPP has been Enter the minimum airflow requirement from the CF -1R (CFM/ton). 350 CFM/ton installed on the air handler per the. PASS , Calculate the target minimum airflow for the test by multiplying the CFM/ton requirements of RA3.3.1.1. ' criteria specified on the CF -1R by the nominal cooling capacity of the outdoor 1750 Enter Pass or Fai unit (ton). Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results of the cooling coil airflow diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Select onermethod from the three choices'below forLcompliance with the Cooling'Coil Airflow test requirement for this dwelling. f +'t # i' !• r % s �� r.. 4 ❑ Diagnostic Fan Flow Usi,ng,,Plenum Pressure Match ing'according to the procedures' injRA3.3.3.1.1, -N V' ❑ Diagnostic Fan FIowiUsing Flow Grid lMeasurem- ent according to the procedures in RA3.3.3.1.21 ® Diagnostic Fan+Flow Using Flow Capture Hood -according to,the procedures in RA3:3.3.1.3 System Name or Identification/Tag `1 ` "� Split f System System Location or Area Served Split _ System Nominal Cooling Capacity (ton) of the outdoor unit. 5 Enter the minimum airflow requirement from the CF -1R (CFM/ton). 350 CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling capacity of the outdoor 1750 unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 189S. Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PA55 - - • Enter Pass or Fail Y Reg: 212-A0054093A-M2200001A-M22A ,Registration Date/Time: 2012/09/28 01:22:14 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms r x March 2010 - a When the Certificate of Compliance indicates Fan Watt Draw. verification is required, the procedures for measuring the Fan Watt Drawmus be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or, exceed their target criteria cnE ifiprl by the rF-1R fnr tha dwPBinn_ + Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 p Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag Split System Doug Rayburn 173'1939 ` HERS Provider Data Registry Information System Location or Area Served Garage ❑ not-tested/verified dwelling in la Enter the air handler Tested (CFM) from the cooling coil airflow test table. 1895 HERS Rater Company Name: Rapid Duct Testing & Air Balancing Responsible Rater's Name: above. Saro Jankozian Saro Jankozian Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/27/2012 y Enter the fan watt draw requirement from the CF -1R (Watt/CFM). •58 Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -1R by the air handler Tested (CFM). 1099.1 , Target'(CFM) Enter the diagnostically tested Watt draw (Watt). 982 Tested (Watt) s The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS Enter Pass or Fail G :� - +'- •-•--ter ' f DECLARATION STATEMENT, ` . I certify under penalty of, perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater).." > . -The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the _ installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. . The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. , Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) RAYBURN HEATING AND AIR CONDITIONING Responsible Person's Name: - CSLB License: Doug Rayburn 173'1939 ` HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in la HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798695425 HERS Rater Company Name: Rapid Duct Testing & Air Balancing Responsible Rater's Name: Responsible Rater's Signature: Saro Jankozian Saro Jankozian Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/27/2012 y CC2005931 Reg: 212-A0054093A-M2200001A-M22A Registration Date/Time: 2012/09/28 01:22:14 ITERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-611-MECH-22-HERS HSPP/PSPP Installation; Cooling Coil Airflow & Fan Watt Draw Test (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 54805 Avenida Vallejo, La Quinta CA 92253 1 City of La Quinta 11-1194 As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CF1R )indicates Cooling Coil Airflow or Fan Watt Draw verification are required; HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires ' verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP. 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply 1► , INSTALLATION CERTIFICATE CF-611-MECH-22-HERS HSPP/PSPP Installation; Cooling Coil Airflow & Fan Watt Draw Test (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 54805 Avenida Vallejo, La Quinta CA 92253 1 City of La Quinta 11-1194 As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CF1R )indicates Cooling Coil Airflow or Fan Watt Draw verification are required; HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires ' verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP. 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply ® Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 System Name or Identification/Tag plenum as shown in the figure in Section RA3:3.1.1. 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and ❑ PSPP located downstream of the evaporator coil in the supply plenum as shown in the figure in Section RA3.3.1.1. System Name or Split System Enter the minimum airflow requirement from the CF -1R (CFM/ton). Identification/Tag Calculate the target minimum airflow for the test by multiplying the CFM/ton System. Location or Area Garage - criteria specified on the CF-iR by the nominal cooling capacity of the outdoor. Served , unit (ton). Confirm that a HSPP or Target (CFM) PSPP has been Enter the diagnostically tested airflow (CFM). installed on the air Tested (CFM) handler per the -- PASS The system complies if Tested (CFM) is equal or greater than Target (CFM). requirements of Enter Pass or Fail RA3.3.1.1. _„� Enter, Pass or`Fai o E Cooling Coi When the Ce measuring th Results of• the verification b v Airflow,Verification ' rtificate",of Compliance indicates Cooling Coil Airflow e cooling coil aicfiow must be performed as specified :cooling coil airflow- diagnostic test must.be entered a HERS rater. verification�is required,.the procedures, forr- - in Reference Residential Appendix RA3 3'f , idithe:tatile below. -This;measure requires !'t p AG Select one method from the three choices below for compliance with the Cooling Coil Airflow test requirement for this dwelling,. ❑ Diagnostic Fan Flow Using Plenum Pressure Matching according to the procedures in RA3.3.3.1.1 ❑ Diagnostic Fan Flow Using.Flow Grid Measurement according to the procedures in RA3.3.3.1.2 ® Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 System Name or Identification/Tag Split System System Location or Area Served Split System Nominal Cooling Capacity (ton) of the outdoor unit. S - Enter the minimum airflow requirement from the CF -1R (CFM/ton). 350 . Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF-iR by the nominal cooling capacity of the outdoor. 1750 unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 1895 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS Enter Pass or Fail 1 Reg: 212-A0054093A-M2200001A-0000 'Registration Date/Time: 2012/09/28 01:18:33 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-22-HERS HSPP/PSPP Installation; Cooling Coil Airflow & Fan Watt Draw Test (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 54805 Avenida Vallejo, La Quinta CA 92253 -City of La Quint a 11-1194 Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan; Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow meacurement must cimultanemiciv meet or exceed their taroet criteria specified by the CF -IR for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw. test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 O Utility Revenue Meter Measurement according to the procedures in.RA3.3.2.2.2 System Name or Identification/Tag,.Split System Doug Rayburn CSLB License: Date Signed: „ System Location or Area Served - Garage 9/27/2012 Is this installation monitored by a Third Party Quality Enter the air handler Tested (CFM) from the cooling coil airflow test table • 1895 above. Enter the fan watt draw requirement from the CF -111 (Watt/CFM). .58 Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -111 by the air handier Tested (CFM). 1099.1 Target (CFM) Enter the diagnostically tested Watt draw (Watt). 982 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS ' - Enter Pass or Fai - 1 DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. ,. . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those Installations fall to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for. multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or -General Contractor or Builder/Owner) RAYBURN HEATING AND AIR CONDITIONING - Responsible Person's Name: Responsible Person's Signature: Doug Rayburn Doug Rayburn CSLB License: Date Signed: „ Position With Company (Title): 731939 9/27/2012 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? . p Yes p No Reg: 212-A0054093A-M2200001A-0000 Registration Date/Time: 2012/09/28 01:18:33 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 a INSTALLATION CERTIFICATE _ CF-6R-MECH-0 Space Conditioning Systems, Ducts and Fans (Pagel of 2) Site Address: _ 54805 Avenida Vallejo, La Quinta CA 92253 (Split , • Enforcement Agency: 9 �' Permit Number: , System) +, City.of La Quinta . 11-1194 , .. .` Space Conditioning Systems, Heating Eauinment cooung equipment Equip Efficiency Duct x Efficiency Location Equip "' (AFUE, (attic, Type ARI # of etc.)1, 3 crawl- Heating. Heating (package- CEC Certified Mfr. Name Reference'. Identical (>=CF -1R space, ; Duct Load Capacity heat pump) and Model Number. Number2 Systems value)4, etc.) , R -value (kBtu/hr) (kBtu/hr) Split Guardian T �/`f j Furnace GGLS10OC20MP11A 2017658 1 .80 AFUE Other R-8 100. 80 kBtu - ^{F �4 1" •;•-�,,,.i' �. v,l] g 1k f l I R l�I`j�,y • l.n / ilt,14 T—�• - 4+ ' �+ .-•'M .'t�-•'� �'�A-�Ff tr4 T7 } ,orf^' jM0 cooung equipment Equip 1. If project is new construction, see Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative compliance. '+ , 2. ARI Reference Number can be found by entering the equipment model number at http://www.aHilirectory.org/ari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ?) to the value shown on the CF -IR form. 4. When CF -IR is reference it is also applicable to the CF-1R,.CF-IR-AA or CF -IR -ALT .ALL BOXES MUST BE,CHECKED TO BE A VALID FORMs `® §110-§113: HVAC equipment icertified by the California Energy Commission. , 181§150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA,•or ACCA. ' .® §150(i): Setback• Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). - r N §1500)2: Pipe insulation for,cooling system refrigerant suction, chilled water and brine lines meets minimum requirements of Table 150,8 and,includes a vapor retardant or is enclosed entirely in conditioned space. Reg: 212-A0054093A-M0400001A-0000 Registration Date/Time: 2012/09/28 01:24:29 HERS Provider: CalCERT9, Inc. 2008 Residential Compliance Forms i August 2009. 3 Efficiency Duct (SEER Location ._ Type • - -c ;. and EER) (attic, (package ARI ' # of 1,3 crawl-' Cooling Cooling — heat CEC Certified Mfr. Name A Reference Identical (>=CF -IR space, " Duct Load Capacity pump) and Model Number Number2 Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) Split" }'Guardianw ' �/`f j A/C / GCGD60S41S3A 5533221~ 1 13.5;SEER Other R-8 [ 60 5 Tons - ^{F �4 1" •;•-�,,,.i' �. v,l] g 1k f l I R l�I`j�,y • l.n / ilt,14 T—�• - 4+ ' �+ .-•'M .'t�-•'� �'�A-�Ff tr4 T7 } ,orf^' jM0 1. If project is new construction, see Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative compliance. '+ , 2. ARI Reference Number can be found by entering the equipment model number at http://www.aHilirectory.org/ari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ?) to the value shown on the CF -IR form. 4. When CF -IR is reference it is also applicable to the CF-1R,.CF-IR-AA or CF -IR -ALT .ALL BOXES MUST BE,CHECKED TO BE A VALID FORMs `® §110-§113: HVAC equipment icertified by the California Energy Commission. , 181§150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA,•or ACCA. ' .® §150(i): Setback• Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). - r N §1500)2: Pipe insulation for,cooling system refrigerant suction, chilled water and brine lines meets minimum requirements of Table 150,8 and,includes a vapor retardant or is enclosed entirely in conditioned space. Reg: 212-A0054093A-M0400001A-0000 Registration Date/Time: 2012/09/28 01:24:29 HERS Provider: CalCERT9, Inc. 2008 Residential Compliance Forms i August 2009. 3 Ducts and Fans §150(m): Duct and Fans y ® 1. All air -distribution system ducts and plenums installed, sealed and insulated'to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air , ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 1818 or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than ,1/4. inch, the combination of mastic and either mesh or tape shall,be used; and ® 1. Building cavities; support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying. conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities. and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. { ® 2D. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. ` ® 7. Exhaust fan systems have back draft or automatic dampers. ` ® 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. - - ® Protection of Insulation. Insulation, shall be protected from damage,'including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or 'painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material: 010. Flexiblerd_ucts cannot have', porous=inner, cores. •.�jrjr{ DECLARATION STATEMENT , . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. ' • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance (CF -SR) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occuoancv. INSTALLATION CERTIFICATE CF-6R-MECH-0 t y � Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: 54805 Avenida Vallejo, La,Quinta CA 92253 (Split Enforcement Agency:. Permit Number: Doug Rayburn. _ System) City of La Quinta 11-1194 CSLB License: 731939 Ducts and Fans §150(m): Duct and Fans y ® 1. All air -distribution system ducts and plenums installed, sealed and insulated'to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air , ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 1818 or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than ,1/4. inch, the combination of mastic and either mesh or tape shall,be used; and ® 1. Building cavities; support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying. conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities. and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. { ® 2D. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. ` ® 7. Exhaust fan systems have back draft or automatic dampers. ` ® 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. - - ® Protection of Insulation. Insulation, shall be protected from damage,'including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or 'painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material: 010. Flexiblerd_ucts cannot have', porous=inner, cores. •.�jrjr{ DECLARATION STATEMENT , . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. ' • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance (CF -SR) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occuoancv. Reg:,212-A0054093A-M0400001A-0000 Registration Date/Time: 2012/09/28 01:24:29 HERS Provider: Ca10ERTS, Inc. 2008'Residential Compliance Forms - August 2009 Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) . t y � RAYBURN HEATING AND AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: Doug Rayburn. _ boug Rayburn CSLB License: 731939 Date Signed: 9/27/2012' Position With Company (Title): Reg:,212-A0054093A-M0400001A-0000 Registration Date/Time: 2012/09/28 01:24:29 HERS Provider: Ca10ERTS, Inc. 2008'Residential Compliance Forms - August 2009 t y � Reg:,212-A0054093A-M0400001A-0000 Registration Date/Time: 2012/09/28 01:24:29 HERS Provider: Ca10ERTS, Inc. 2008'Residential Compliance Forms - August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address:.~ 54805 Avenida Vallejo, La Quinta CA 92253 (Split ' Enforcement Agency: Permit Number: . System) ' . . Pty of La Quinta 11=1194 Enter the Duct System Name or Identification/Tag: Split System - Enter the Duct System Location or Area Served: Garage' - Note: Submit one,instal/ation Certificate'for each duct system that,must demonstrate compliance in the dwelling. • _ • _ Duct Leakage Diagnostic Test - completely new or replacement duct system + Enter a value for the Allowed Leakage (CFM) for the dud system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. ' Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for verified low leakage duds in conditioned space is shown in the special features section of the Allowed CF -1R, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered for Allowed Leakage. i '(CFM) Allowed leakage calculation - (select one calculation, method from this section). Use 6% (leakage factor = 0.06) for calculations if tested at "final" or 4%. (leakage factor = 0.04) if tested at "rough." When utilizing Low Leakage Air Handier (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) use aleakage,factor of 0.03 in.the calculations,below.' is reported on the�CF-iR as 3%, theEns ® Cooling system method:Nominal�rcapacity of condenser in T,/ x 400 x leakage factor - m CFM ` t p Heating system method:,r, � � 4 � �. lfactoAl 21.7 x +� ,Output Capacity;in Thousands.of Btu/hr x leakage CFM. "J r. ..1 ,.a•`+•r `�... 'er- 'L. w -:•r �•'•-. r �.. ;�..-r"4.,�� i �....-,. .i -. - 'lam' C3 Measured airflow method (RA3.3)3 ~ �y` " Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM),in the right column, from measurement using applicable dud Actual leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). Leakage (CFM) List Actual Leakage from duct leakage test(CFM) 114 Pass if Actual Leakage is'equal to or,less than Allowed Leakage ®Pass O Fail For complete, replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed -using smoke � Pass D Fail Reg: 212-A0054093A-M2000001A-0000 Registration Date/Time: 2012/09/28 01:17:27 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance,Forms August 2009 r •r Reg: 212-A0054093A-M2000001A-0000 Registration Date/Time: 2012/09/28 01:17:27 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance,Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely. New or Replacement Duct System (Page 2 of 2) Site Address: , - •. 54805 Avenida Vallejo, La Quirita CA 92253 (Split Enforcement Agency: Permit Number: System) City of La Quinta , 11-1194 . Compliance Method This dwelling was: (select one of the following two choices): ® Tested at Final' - ❑ Tested at Rough -in (requires'installer to complete the visual inspection at final construction stage described below) • Visual Inspection at Final Construction Stage (if applicable) After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must be performed: ❑ For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. - ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. ® Outside air (OA) ducts for`Central•Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and"return register boots must be sealed to the drywall ® New ductInstallations cannot-tutilizefbuilding cavities asiplenums or platformireturns fn lieu of ducts. ® Mastic and`draw bands"must be used in combination with Cloth backed, rubber adhesive•duct tape to seal leaks at duct connections�_?f' I DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the Information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the. person responsible for construction (responsible person). _ • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the Installation is consistent with the plans and specifications approved by the enforcement agency. « • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I, understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those Installations fail to meet the requirements of such quality assurance checking, the required corrective action and . additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the " building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder. provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation altematives, and beginning October 1, 2010, for all low-rise residential buildinas. . Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) RAYBURN HEATING AND AIR CONDITIONING Responsible Person's Name: r Responsible Person's Signature: Doug Rayburn boug Rayburn CSLB License: _ Date Signed: position With Company (Title): . 731939 9/27/2012 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? [3 Yes ❑ No, C • Reg: 212-A0054093A-M2000001A-0000 Registration Date/Time:,2012/09/28 01:17:27 HERS Provider: Ca10ERTS,'Inc. 2008 Residential Compliance Forms August 2009 BUILDING ENERGY ANALYSIS REPORT PROJECT: EI Rancho Homes Inc. Avenue Vallejo La Quinta, CA Project Designer: RIECEIV E1E) FEB 0 1 2012 Report Prepare y: Joan D. Hacker Insu-form, Inc. 77-810 Las Montanas Road, Suite 201 Palm Desert, Ca 92211 760-345-1352 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION .Job Number: DATE BY-_ Date: 1/25/2012 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 2012-01-25711:04:27 ID: 1 i i BUILDING ENERGY ANALYSIS REPORT PROJECT: EI Rancho Homes Inc. Avenue Vallejo La Quinta, CA Project Designer: RIECEIV E1E) FEB 0 1 2012 Report Prepare y: Joan D. Hacker Insu-form, Inc. 77-810 Las Montanas Road, Suite 201 Palm Desert, Ca 92211 760-345-1352 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION .Job Number: DATE BY-_ Date: 1/25/2012 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 2012-01-25711:04:27 ID: 1 TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Summary .9 HVAC System Heating and Cooling Loads Summary 12 EnergyPro 5.1 by EnergySoft Job Number: ID: User Number: 2655 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name El Rancho Homes Inc. Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1/25/2012 Project Address Avenue Vallejo La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 1,972 Addition n/a # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity Features see Part 2 of 5 Status Wall Wood Framed R-13 1,094 New Door Opaque Door None 20 New Roof Wood Framed Attic R-38 1,972 Radiant Barrier New Slab Unheated Slab -on -Grade None 1,972 Perim = 51' New FENESTRATION U- Orientation Area Factor Exterior SHGC Overhang Sidefins Shades Status Front (E) 6.0 0.310 0.27 4.0 none Bug Screen New Front (E) 33.4 0.310 0.29 none none Bug Screen New Front (E) 28.8 0.310 0.27 none none Bug Screen New Left (S) 58.0 0.310 0.27 none none Bug Screen New Left (S) 40.0 0.310 0.29 none none Bug Screen New Rear (lM 40.0 0.310 0.29 none none Bug Screen New Rear (W) 30.0 0.310 0.27 none none Bug Screen New Right (N) 66.0 0.310 0.27 none none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status Whole House Ducted Ducted Attic, Ceiling Ins, vented 8.0 New r WATER HEATING Qty. Type Gallons Min. Eff Distribution Status 1 Small Gas 50 0.62 All Pipes Ins New Ener Pro 5.1 by Ener Soft User Number: 2655 RunCode: 2012-01-25T11:04:27 ID: Page 3 of 12 PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R Project Name EI Rancho Homes Inc. Building Type ® Single Family ❑ Addition Alone 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1/25/2012 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency. determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HIGH MASS Design - Verify Thermal Mass: 1,072.0 ftz Exposed Slab Floor, 3.500" thick at Whole Houser HIGH MASS Design - Verify Thermal Mass: 900.0 ft2 Covered Slab Floor, 3.500" thick at Whole Houser The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4.2.2. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. The Cooling System York GCGD 60S 415 3A includes credit for a 11.9 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System Whole House incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System Whole House incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. Ener Pro 5.1 by Ene Soft User Number: 2655 RunCode: 2012-01-25T11:04:27 ID: Page 4 of 12 PERFORMANCE CERTIFICATE: Residential Part 3 of 5 CF-1 R Project Name Building Type m Single Family ❑ Addition Alone Date EI Rancho Homes Inc. 1 ❑ Multi Family ❑ Existing+ Addition/Alteration 1/25/2012 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2 r Space Heating 2.12 1.62 0.50 Space Cooling 45.76 44.46 1.30 Fans 9.28 12.32 -3.04 Domestic Hot Water 16.48 14.94 1.54 Pumps 0.00 0.00 0.00 Totals 73.65 73.35 0.30 Percent Better Than Standard: 0.4% BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (E) 90 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (E) 400 68 Fuel Available at Site: Natural Gas (S) 300 98 Raised Floor Area: 0 (w) 416 70 Slab on Grade Area: 1,972 (N) 300 66 Average Ceiling Height: 9.0 Roof 1,972 0 Fenestration Average U-Factor: 0.31 TOTAL: 302 Average SHGC: 0.28 Fenestration/CFA Ratio: 15.3% REMARKS STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of Regulations. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company Insu-form, Inc. Address 77-810 Las Montanas Road, Suite 201 Name Joan D. Hacker A20& City/State/ZipCity/State/Zip Palm Desert, Ca 92211 Phone 760-345-1352 Si ed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and recognizes that compliance using duct design, duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Design r or Owner (per Business & Professions Code) Company1�� `j'Te91DtC3 /ISG. t6tr r Address P0. � 4 Name`760- ' ( ignDate e City/State/Zip Phone (5�4::q7�2 - Ene Pro 5.1 by Ener Soft User Number.' 2655 RunCode: 2012-01-25711:04:27 /D: Page 5 of 12 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5) - CF -1 R Project Name EI Rancho Homes Inc. Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1112512012 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Joint Appendix Factor Cavi Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Wall 312 0.102 R-13 90 90 New 4.3.1-A3 Whole House Door 20 0.500 None 90 90 New 4.5.1-A4 Whole House Wall 202 0.102 R-13 180 90 New 4.3.1-A3 Whole House Wall 346 0.102 R-13 270 90 New 4.3.1-A3 Whole House Wall 234 0.102 R-13 0 90 New 4.3.1-A3 Whole House Roof 1,972 0.025 R-38 90 0 New 4.2.1-A21 Whole House Slab 1,072 0.730 None 0 180 New 4.4.7-A1 Whole House Slab 900 0.730 None 0 180 New 4.4.7-A1 Whole House FENESTRATION SURFACE DETAILS ID Type Area LI -Factor' SHGC Azm Status Glazing Type Location/Comments 1 Window 6.0 0.310 NFRC 0.27 NFRC 90 New IWC 6200 AlumA-ow-E Whole House 2 Window 33.4 0.310 NFRC 0.29 NFRC 90 New Dual Pane Windows Whole House 3 Window 2.7 0.310 NFRC 0.27 NFRC 90 New IWC 6200 Alum/Low-E Whole House 4 Window 2.7 0.310 NFRC 0.27 NFRC 90 New IWC 6200 Alum/Low-E Whole House 5 Window 6.7 0.310 NFRC 0.27 NFRC 90 New IWC 6200 Alum/Low-E Whole House 6 Window 6.7 0.310 NFRC 0.27 NFRC 90 New IWC 6200 AlumA-ow-E Whole House 7 Window 10.0 0.310 NFRC 0.27 NFRC 90 New IWC 6200 Alum/Low-E Whole House 8 Window 9.0 0.310 NFRC 0.27 NFRC 180 New IWC 6200 AlumA-ow-E Whole House 9 Window 9.0 0.310 NFRC 0.27 NFRC 180 New IWC 6200 AlumA-ow-E Whole House 10 Window 40.0 0.310 NFRC 0.29 NFRC 180 New Dual Pane Windows Whole House 11 Window 12.0 0.310 NFRC 0.27 NFRC 180 New IWC 6200 Alum/Low-E Whole House 12 Window 20.0 0.310 NFRC 0.27 NFRC 180 New IWC 6200 AlumA-ow-E Whole House 13 Window 8.0 0.310 NFRC 0.27 NFRC 180 New IWC 6200 AlumA-ow-E Whole House 14 Window 40.0 0.310 NFRC 0.29 NFRC 270 New Dual Pane Windows Whole House 15 Window 12.0 0.310 NFRC 0.27 NFRC 270 New IWC 6200 Alumkow-E Whole House 16 Window 4.0 0.310 NFRC 0.27 NFRC 270 New I IWC 6200 Alum/Low-E Whole House (1) LI -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window Hot Wd Ove hanq Left Fin Ri ht Fin Len I Hat I LExt RExt Dist Len Hat Dist Len Hat 1 Bug Screen 0.76 2.01 3.0 4.01 0.1 4.0 4.0 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 9 Bug Screen 0.76 10 Bug Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 13 Bug Screen 0.76 14 Bug Screen 0.76 15 JBug Screen 1 0.76 16 JBug Screen 1 0.76 Ener Pro 5.1 by Ener Soft User Number.' 2655 RunCode: 2012-01-25711:04:27 ID: Page 6 of 12 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name EI Rancho Homes Inc. Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1112512012 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavit Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Tvpe Area LI -Factor' SHGCz Azm Status Glazing Type Location/Comments 17 Window 4.0 0.310 NFRC 0.27 NFRC 270 New IWC 6200 Alum/Low-E Mole House 18 Window 4.0 0.310 NFRC 0.27 NFRC 270 New IWC 6200 Alum/Low-E Mole House 19 Window 6.0 0.310 NFRC 0.27 NFRC 270 New IWC 6200 Alum/Low-E Mole House 20 Window 4.0 0.310 NFRC 0.27 NFRC 0 New IWC 6200 Alum/Low-E Whole House 21 Window 25.0 0.310 NFRC 0.27 NFRC 0 New IWC 6200 Alum/Low-E Whole House 22 Window 8.0 0.310 NFRC 0.27 NFRC 0 New IWC 6200 Alum/Low-E Whole House 23 Window 25.0 0.310 NFRC 0.27 NFRC 0 New IWC 6200 Alum/Low-E WNhole House 24 Window 4.0 0.310 NFRC 0.27 NFRC 0 New IWC 6200 Alum/Low-E WNhole House (1) LI -Factor Type: 2 SHGC Type: 116-A = Default Table from Standards, NFRC = Labeled Value 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type Window SHGC Hat Wd Ove hang Left Fin Right Fin Len H t LExt RExt Dist Len H t Dist Len H t 17 Bug Screen 0.76 18 Bug Screen 0.76 19 Bug Screen 0.76 20 Bug Screen 0.76 21 Bug Screen 0.76 22 Bug Screen 0.76 23 Bug Screen 0.76 24 Bug Screen 0.76 Ener Pro 5.1 by Ener Sok User Number: 2655 RunCode: 2012-01-25711:04:27 ID: Page 7 of 12 CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5 CF-1 R Project Name E/ Rancho Homes Inc. Building Type ❑ Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1112512012 BUILDING ZONE INFORMATION System Name Zone Name Floor Area ft New Existing Altered Removed Volume Year Built Whole House Whole Houser 1,972 17,748 Totals 1 1,9721 01 01 0 HVAC SYSTEMS System Name Ot . Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Ty e Status Whole House 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name Heating Duct Coolin Duct Location R-Value Ducts Tested? Status Whole House Ducted Ducted Attic, Ceiling Ins, vented 8.0 m New WATER HEATING SYSTEMS S stem Name Ot . Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status A. 0. SMITH FPS-50-224 1 Small Gas All Pipes Ins 43,000 50 0.62 n/a n/a New MULTI-FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length (ft)o .ca v a S System Name Pipe Len th Pipe Diameter Insul. Thick. Ot . HP Plenum Outside Buried Ener Pro 5.1 by EnerqySoft User Number: 2655 RunCode: 2012-01-25711:04:27 ID: Page 8 of 12 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name EI Rancho Homes Inc. Date 1 1/25/2012 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified LI -Factor, certified Solar Heat Gain Coefficient SHGC and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the installation of a Cool Roof is specified on the CF -1 R Form. *§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent Ll -factor. §150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§15 (c): Minimum R-13 insulation in wood -frame wall orequivalent Ll -factor. *§150(d): Minimum R-13 insulation in raised wood -frame floor orequivalent Ll -factor. §150(f): Air retarding wrap is tested labeled and installed according to ASTM E1677-95(2000) when specified on the CF -1 R Form. §150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA. 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §150(j)1A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §1500)113: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. §150(j)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculatina sections of hot water pipes are insulated per Standards Table 150-13. §1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. §150(4)3A: Insulation is protected from damage, including that due to sunlight, moisture equipment maintenance and wind. §150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. 150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro5.1 by EnergySoft User Number: 2655 RunCode: 2012-01-25711:04:27 ID: Page 9 of 12 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date EI Rancho Homes Inc. 1/25/2012 §150(m)l : All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch the combination of mastic and either mesh or tape shall be used §150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tae is used in combination with mastic and draw bands. 150(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 150 m 10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150 k 2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 2012-01-25711:04:27 /D: Page 10 of 12 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date EI Rancho Homes Inc. 1/25/2012 §150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual - on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with §150 k 11. §150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150(k)l3: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)13 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §130(d). §150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130 131, 134, and 146. §150(k)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. i EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 2012-01-25711:04:27 ID: Page 11 of 12 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name EI Rancho Homes Inc. Date 1/25/2012 System Name Whole House Floor Area 1,972 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 814 Return Vented Lighting Return Air Ducts Return Fan Ventilation F 0 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output per System 86,000 19,489 2,031 491 18,087 Total Output Btuh 86,000 0 Output Btuh/s ft 43.6 1,125 889 Cooling System 0 0 Output per System 58,000 0 0 0 0 Total Output Btuh 58,000 0 2,031 0 Total Output Tons 4.8 1,125j 889 Total Output Btuh/s ft 29.4 Total Output s ft/Ton 408.0 21,739 19,865 Air System CFM per System 2,055 HVAC EQUIPMENT SELECTION Airflow cfm 2,055 York GCGD 60S 415 3A 43,919 5,787 86,000 Airflow cfm/s ft 1.04 Airflow cfm/Ton 425.2 86,000 Outside Air % 0.0% Total Adjusted System Output 43,919 (Adjusted for Peak Design conditions) 1 TIME OF SYSTEM PEAK 5,787 Aug 3 PM Outside Air cfm/s ft 0.00 Note: values above given at ARI conditions Jan 1 AM HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26 OF 70 OF Outside Air 0 cfm Supply Fan 2,055 cfm 70 OF 70 OF 105 OF Heating Coil _ 105 OF ROOM 70 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 112 / 78 OF 79 / 63 OF 79 / 63 OF 55 / 54 OF Outside Air Arc 0 cfm Supply Fan Cooling Coil 56 / 54 OF 2,055 cfm—-,•, az.z Bio ROOM 79 / 63 OF 78 / 63 OF EnergyPro 5.1 by EnergySo/t User Number: 2655 RunCode: 2012-01-25T11:04:27 ID: Page 12 of 12 Building Materials and Construction Services D.B.A Boulder West Components 45491 Golf Center Parkway, Indio, CA 92203 Telephone: (760) 347-3332 Fax: (760) 347-0202 b Nuc CITY OF LA QUINTA ' BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION N� DATE4ll gy_ BMC Avenida Vallejo Residence 12�12�2011 I L 2-6-0 _L 10-0-0 I�2-6-0 13-8-0 ` 21-4-0 f ,l i ( 189) 2x4 Solid Blocks' [GARAGE' ( 30) 2x6 Bevel 3 15/16" LE @ 4:12 " NOTE: OPEN END JACKS LESS THAN REQUIRE (3) 12d Avenida, � ®'��/l� ! Va'llejo Residence TOE-NAIL @ T.C. 8 B.C. SEE STANDARD JACK DETAIL LESS THE T SETBACK CG's= SUR/1_24 GREATER THAN T LESS THAN T= LTHJ 8' SETBACK CG's= THJA26 SHEET Building Materials and Construction Services 1 D.B.A. Boulders West Components OF 45-491 Golf Center Parkway, Indio, CA 1 Building Materials and (760) 347-3332 Fax: (760) 347-0202 Construction Services CUSTOMER: BMC y - OPT/ONS. { -------....... -............ -... --...... -....... -........... _..----. —---._.... - - -- _ __-- --- 4. r 0 4 - - —'---- -- ---- X 9• G N o r r w ---- -- �91A Drag 200PLF --_ :_:—__----=-' Drag=200PLF C01C--- 4 o D01BD Drag = 200PLF t o co D01 a D01B • HG " c O i q rnM D01 C D01 D "• Dra c 200PLF • F N (n 4 X G Q a� 4 D01C D01 F Drag = 200PLF N J 0 , ` 2 -PLY Frame Para t Wall on Truss B01A .. HGUS26-3 LUS26A01 - A01 C B A 4 c Q FQ1.A - - --- .Drag_=200PLF --- -------- 2s A01 A E01 B EJ02(3) Gp^ CSC . O� - --- _� -- CJ06- —_ --G I CJ06 01 1 J02 CL04 �} —�J_0 m m co m w 4o Z-- Ed08U U I II I U U U L 2-6-0 _L 10-0-0 I�2-6-0 13-8-0 ` 21-4-0 f ,l i ( 189) 2x4 Solid Blocks' [GARAGE' ( 30) 2x6 Bevel 3 15/16" LE @ 4:12 " NOTE: OPEN END JACKS LESS THAN REQUIRE (3) 12d Avenida, � ®'��/l� ! Va'llejo Residence TOE-NAIL @ T.C. 8 B.C. SEE STANDARD JACK DETAIL LESS THE T SETBACK CG's= SUR/1_24 GREATER THAN T LESS THAN T= LTHJ 8' SETBACK CG's= THJA26 SHEET Building Materials and Construction Services 1 D.B.A. Boulders West Components OF 45-491 Golf Center Parkway, Indio, CA 1 Building Materials and (760) 347-3332 Fax: (760) 347-0202 Construction Services CUSTOMER: BMC y - OPT/ONS. { ELEV.. XX JOB#: SCALE: L 2-6-0 _L 10-0-0 I�2-6-0 13-8-0 ` 21-4-0 f ,l i ( 189) 2x4 Solid Blocks' [GARAGE' ( 30) 2x6 Bevel 3 15/16" LE @ 4:12 " NOTE: OPEN END JACKS LESS THAN REQUIRE (3) 12d Avenida, � ®'��/l� ! Va'llejo Residence TOE-NAIL @ T.C. 8 B.C. SEE STANDARD JACK DETAIL LESS THE T SETBACK CG's= SUR/1_24 GREATER THAN T LESS THAN T= LTHJ 8' SETBACK CG's= THJA26 SHEET Building Materials and Construction Services 1 D.B.A. Boulders West Components OF 45-491 Golf Center Parkway, Indio, CA 1 Building Materials and (760) 347-3332 Fax: (760) 347-0202 Construction Services CUSTOMER: BMC JOB NAME: Avenida Vallejo Residence OPT/ONS. PLAN#.' XX ELEV.. XX JOB#: SCALE: DRAWN BY.- T. Mlles DATE: 12/12/2011 SYMBOLS . °"° • °" ; °"• �""°aa"°"�'.• LEGEND: : mu• vnnr®oacwnu mwAQ—TRucuw..w..ma: .nw•w�ioc.�.w.°1a.`,°Cmu�mxrrm �'m'•"u°xoauuea. NOTES. mo"en°n�.D umw­uieeRw 33eswuirw.rarrwour